Module 1 Lessons 1, 2, 3 Flashcards
Evaluation & Management Code Range
99202-99499
Anesthesia Code Range
00100-01999, 99100-99140
Surgery Code Range
10004-69990
Radiology Code Range
70010-79999
Pathology & Laboratory Code Range
80047-89398, 0001U-0419U
Medicine
90281-99199, 99500-99607
What is a category I code & the sections?
Codes from the main sections (ex. E&M, Anesthesia, Surgery, Radiology , Pathology & Lab, & Medicine) they are mandatory
What are category II codes & where are they located?
Codes that aren’t mandatory , are trackable, located after medicine section. Can not be used as a primary code (ex. 1005F)
What are category III codes & where are they located?
Located after category II , temporary codes used for collection of statistical data (ex. 0208T)
T or F : CPT is used to assign codes for diagnoses & procedures
False
Note: CPT is used to report procedures and services. Diagnosis codes are reported with ICD 10 – CM.
T or F : Every CPT code will have a modifier appended to the code
False
Note: It will depend on the circumstance of the specific service or procedure being coded.
What is a modifier & the difference between level I (CPT) modifiers and level II (HCPCS/National) modifiers ?
2 digit code that is added to a CPT code that indicates the procedure was altered for some reason
Level I are two digit numeric codes
Level II are two digit alphanumeric codes
(Appendix A)
When entering two modifiers which code is for.pricing & which is for statistical purposes ?
Pricing modifier would be the first because it affects pricing then second modifier would be applied
(QT QW SF are only to be used in first modifier field)